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<br />I'\.) <br />IS <br />IS <br /><0 <br />IS <br />...... <br />(JJ <br />(JJ <br />~ <br /> <br />-;r::::: <br />C-~0 <br />CO .-4) <br />-- _... <br />8 ~ -+- <br />p.... '" ~. <br />~ ",. ~ <br />.-. -C <br />~ <><' ~ <br />... ~ s:. <br />~ <br /> <br /> r-.:> ~ <br /> c:.:::J a (j) 0 <br />n ~ <;:::>0 o ~ <br /> c.:J <br />:I: ~ c=l> N <br />m en :3 :z ,~ :D <br />n :c 7J ~' :::0 ~m 0 m <br />jjII\ ~~- :::0 -<0 0 <br /> 0"'" 0 > <br /> W "T1z CD en <br /> ." Z <br /> CJ t x rll C> <br /> l> (I:J ~ <br /> rn -0 r ;;0 <br /> rn 3) rl> I-' <br /> CJ <br />t::l r.n (j') en c: <br />~ I-' ;:><; s:: <br /> :t>- en ~ <br /> c..:> -............ <br /> -C CJ) -C <br /> tfJ Z <br /> 0 <br /> <br />JIg <br />Ell <br />c: <br />n Z <br />:z:.o ~ <br />~iA" <br />~:c <br /> <br />?: <br />'" <br /> <br />c:;- <br />oC <br />()(J <br />~ <br />\.),) <br />c <br />~ <br />..., <br />-..) State of Nebraska <br /> <br />Space Above This Line For Recording Data <br /> <br />/~ 00 <br />j~' <br /> <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br /> <br />Each of the undersigned states as follows: <br />Non-Homestead <br /> <br />o I intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. No part of my homestead is presently situated on said real estate, nor will any of my homestead be <br />situated on said property in the future. However, if I establish a homestead on any part of said real estate <br />during the time the mortgage or deed of trust remains unsatisfied and is a lien upon the real estate, I will have <br />no right to make a designation of homestead in the event of a foreclosure or trustee's sale upon such mortgage <br />or deed of trust. <br /> <br />Homestead <br /> <br />[XI I intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. My homestead is located on said real estate, and I understand I have the right to make a designation of <br />homestead in the mortgage or deed of trust. If I waive or disclaim the right to designate my homestead I am <br />waiving rights, that I would otherwise have, to retain my homestead in the event of default upon such <br />mortgage or deed of trust. I hereby waive and disclaim the right to designate my homestead. <br /> <br />I have read the paragraph checked above, and I understand the contents of that paragraph. <br />This disclaimer was signed before execution of the mortgage or deed of trust. <br /> <br />,f~fjj9 <br />Dated: ~121/6 ~ <br /> <br />State of Neb"'k~ I . <br />County of /Lrv)) <br />, <br /> <br />~-6. -;(~) <br /> <br />~ M(lLt9j3gor/Trustor <br /> <br />C ~ ~[1n'ck_ <br />'. ' Mortgagor/Trustor <br />DEBRA L. ROHRICH <br />-?1~ <br /> <br />The foregoing instrument was acknowledged before me this 1}fh day of February, 2009 <br />by CURTIS D. ROHRICH; DEBRA L. ROHRICH. HUSBAND AND WIFE / <br /> <br />Dated: <br /> <br />(Seal) <br /> <br />mi"ionnpi'71 fl.'! i fb I 0 <br />(~.7(f~ <br /> <br />Notary Public <br /> <br /> <br />J;GENERAL NOTARY-State of Nebraska <br />JAMES E. RENNAU <br />.. ~. My Comm. Exp. April 4, 2010 <br /> <br />Exj5C?er, (9) 1987 Bankers Systems, lnc" ~t. Cloud, MN Form DHtJH. LAZ NE 3/8/2001 <br /> <br />;' <br /> <br />(paqe 1 of 1) <br />